0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Other Articles |

PENICILLIN IN TREATMENT OF EMPYEMA IN CHILDREN

GEORGE E. PRINCE, M.D.; WILLIAM J. TEMPLE, M.D.
Am J Dis Child. 1947;74(4):447-455. doi:10.1001/archpedi.1947.02030010460004.
Text Size: A A A
Published online

THORACIC empyema has been treated by surgical drainage1 for many years, and until the advent of penicillin other methods of therapy were comparatively ineffective. Even with the use of the sulfonamide compounds surgical drainage was still believed paramount.2 The intrapleural and parenteral use of penicillin has recently reduced the necessity for surgical intervention.3 Although the results have been satisfactory in many instances, certain limitations have been noted. Recurrence4 of the empyema and failure to eliminate the cavity after sterilization5 have been reported. The incidence of these and other sequelae can be reduced if proper evaluation of the case is made before treatment is begun. Hirshfeld and associates6 established the following conditions as necessary for successful treatment of empyema with penicillin: The causative organism must be susceptible to penicillin; it must be possible for the penicillin instilled into the empyema cavity to come into contact

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();